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General NPI Number Information
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NPI Number | 1285410514
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Entity Type | Individual
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Provider Name | BRIDGET GONZALEZ PT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2455 S BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4305
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Country | US
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Telephone | 800-447-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 7815 HIGHPOINT RD
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City | PARKVILLE
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State | MD
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Zip | 21234-5407
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Country | US
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Telephone | 443-977-3717
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1383528
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License Number State | TX
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